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<title>Questionnaire No.1</title>
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<body>			
		<table border="0" width="800" id="table11" cellpadding="0" bgcolor="#FDF9EE">
		<tr>
			<td height="27" align="center" width="15%" bgcolor="#F7E6B7">
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">Taps / PsP</font></address>
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">Nos. </font></address>		  </td>
			<td height="27" align="center" width="16%" bgcolor="#F7E6B7">
				<font face="Verdana" style="font-size: 8.5pt" color="#990000">
				Location</font>			</td>
			<td height="27" align="center" width="22%" bgcolor="#F7E6B7">
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">Attached with</font></address>
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">(GLR)</font></address>		  </td>
			<td height="27" align="center" width="23%" bgcolor="#F7E6B7">
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">Attached with CWT</font></address>
				<address>
					<font style="font-size: 8.5pt; font-style: normal" face="Verdana" color="#990000">(Cattle water trough)</font></address>		  </td>
		    <td align="center" width="24%" bgcolor="#F7E6B7"><font face="Verdana" style="font-size: 8.5pt" color="#990000">In SC/ST Basti</font></td>
		</tr>
		<?php
	$psp_total=$_POST['psp_total'];
	for($i=1; $i<=$psp_total; $i++)
	{
	?>		
		<tr>
			<td width="15%" align="center">
		  <input type="text" name="psp_taps<?php echo $i; ?>" id="psp_taps<?php echo $i;?>" size="18" class="txt5" onBlur="numeric(this)"></td>
			<td width="16%" align="center">
				<input type="text" name="psp_loc<?php echo $i; ?>" id="psp_loc<?php echo $i;?>" size="18" class="txt5">		  </td>
			<td width="22%" align="center">
				<font style="font-size: 8.5pt" face="Arial" color="#000000">
				<input type="radio" name="psp_glr<?php echo $i;?>" id="psp_glr<?php echo $i;?>" value="YES">Yes
				<!--<input type="radio" name="psp_glr<?php //echo $i;?>" id="psp_glr<?php //echo $i;?>" value="YES" onClick="formshow_glr(this.name,this.value,<?php //echo $psp_total; ?>)">Yes-->
		  	  <input type="radio" name="psp_glr<?php echo $i; ?>" id="psp_glr<?php echo $i;?>" value="NO">No
			  <!--<input type="radio" name="psp_glr<?php //echo $i; ?>" id="psp_glr<?php //echo $i;?>" value="NO" onClick="formshow_glr(this.name,this.value,<?php //echo $psp_total; ?>)">No-->
			  </font>
			 </td>
			<td align="center">
				<font style="font-size: 8.5pt" face="Arial" color="#000000">
				<input type="radio" name="psp_cwt<?php echo $i;?>" id="psp_cwt<?php echo $i;?>" value="YES">Yes
				<!--<input type="radio" name="psp_cwt<?php //echo $i;?>" id="psp_cwt<?php //echo $i;?>" value="YES" onClick="formshow_cwt(this.value,<?php //echo $i; ?>)">Yes-->
		  	  <input type="radio" name="psp_cwt<?php echo $i;?>" id="psp_cwt<?php echo $i;?>" value="NO">No
			  <!--<input type="radio" name="psp_cwt<?php //echo $i;?>" id="psp_cwt<?php //echo $i;?>" value="NO" onClick="formshow_cwt(this.value,<?php //echo $i; ?>)">No-->
			  </font></td>
			  
		    <td align="center"><font style="font-size: 8.5pt" face="Arial" color="#000000">
				<input type="radio" name="sc_st<?php echo $i;?>" id="sc_st<?php echo $i;?>" value="YES">Yes
		  	  <input type="radio" name="sc_st<?php echo $i;?>" id="sc_st<?php echo $i;?>" value="NO">No</font></td>
		</tr>
		<!--<tr>
		<td></td>
		<td></td>
		<td><div id="glr<?php //echo $i;?>" class="hideme"> <table border="0" width="100%" id="table15" cellpadding="0">
								<tr>
									<td width="32%" align="center" bgcolor="#F7E6B7" colspan="2">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Nos.</font></td>
									<td width="32%" align="center" bgcolor="#F7E6B7" rowspan="2">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Location</font></td>
								</tr>
								<tr>
									<td width="32%" align="center" bgcolor="#F7E6B7">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Total</font></td>
									<td width="32%" align="center" bgcolor="#F7E6B7">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										In SC / ST Bastis</font></td>
								</tr>
								<tr>
									<td width="13%" align="center">
										<input type="text" name="glr_total<?php //echo $i; ?>" id="glr_total<?php //echo $i; ?>"  size="20" class="txt5" onBlur="numeric(this)">
									</td>
									<td width="13%" align="center">
										<input type="text" name="glr_sc_st<?php //echo $i; ?>" id="glr_sc_st<?php echo $i; ?>" size="20" class="txt5" onBlur="numeric(this)">																	 									</td>
										<td width="13%" align="center">
										<input type="text" name="glr_loc<?php //echo $i; ?>" id="glr_loc<?php //echo $i; ?>" size="20" class="txt5">																	 									</td>
								</tr>
						</table> </div></td>
		<td colspan="2"><div id="cwt<?php //echo $i;?>" class="hideme"> <table border="0" width="100%" id="table15" cellpadding="0">
								<tr>
									<td width="32%" align="center" bgcolor="#F7E6B7" colspan="2">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Nos.</font>									</td>
									<td width="32%" align="center" bgcolor="#F7E6B7" rowspan="2">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Location</font>									</td>
								</tr>
								<tr>
									<td width="32%" align="center" bgcolor="#F7E6B7">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										Total</font>									</td>
									<td width="32%" align="center" bgcolor="#F7E6B7">
										<font style="font-size: 8.5pt" face="Verdana" color="#990000">
										In SC / ST Bastis</font>									</td>
								</tr>
								<tr>
									<td width="13%" align="center">
										<input type="text" name="cwt_total<?php //echo $i; ?>" id="cwt_total<?php //echo $i; ?>" size="20" class="txt5" onBlur="numeric(this)">									</td>
									<td width="13%" align="center">
										<input type="text" name="cwt_sc_st<?php //echo $i; ?>" id="cwt_sc_st<?php //echo $i; ?>" size="20" class="txt5" onBlur="numeric(this)">																	 									</td>
										<td width="13%" align="center">
										<input type="text" name="cwt_loc<?php //echo $i; ?>" id="cwt_loc<?php //echo $i; ?>" size="20" class="txt5">																	 									</td>
								</tr>
						</table></div></td>
		</tr>-->
		<?php 
		}
		?>	
		<input type="hidden" name="pspcount" id="pspcount" value="<?php echo $psp_total;?>">
		</table>

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